Individual provider · Type 1 NPI

Larry L. Mischke, RN

Emergency Registered Nurse · Phoenix, AZ

NPI number 1508092073 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1200 Map

Fax (602) 263-1631

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0001

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	RN 143120 (CO)
Emergency Registered Nurse Primary	163WE0003X	RN 143120 (AZ)

Emergency Registered Nurse: Definition to come...

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About NPI 1508092073

Larry L. Mischke, RN's National Provider Identifier is 1508092073, issued on Jun 10, 2009. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 10, 2009.